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 © 2001-2009, DermAtlas | Image Name: | perianal_strep_1_060219 | File Type: | jpg | |
| Diagnosis: | STREPTOCOCCAL INFECTION, PERIANAL / DERMATITIS, DIAPER | Category: | infections and infestations / ulcer / mucous membrane disorders | ||
| Body Site: | perianal | Age: | 4 years | ||
| Contributor: | Elizabeth Phillips | ||||
| Description: | well demarcated red eroded crusted patch with surrounding scale | ||||
| Comments: | This healthy 4-year-old boy had a 3 month history of itchy painful perianal eruption that was treated with oral antibiotics with temproary relief. A streptoccocal screen was positive, and he was retreated with a 3 week course of oral cephalexin. | ||||
| Related Images: | perianal_strep_2_060219 | ||||
 © 2001-2009, DermAtlas | Image Name: | perianal_strep_2_060219 | File Type: | jpg | |
| Diagnosis: | STREPTOCOCCAL INFECTION, PERIANAL / DERMATITIS, DIAPER | Category: | infections and infestations / ulcer / mucous membrane disorders | ||
| Body Site: | perianal | Age: | 4 years | ||
| Contributor: | Elizabeth Phillips | ||||
| Description: | well demarcated red eroded crusted patch with surrounding scale | ||||
| Comments: | This healthy 4-year-old boy had a 3 month history of itchy painful perianal eruption that was treated with oral antibiotics with temproary relief. A streptoccocal screen was positive, and he was retreated with a 3 week course of oral cephalexin. | ||||
| Related Images: | perianal_strep_1_060219 | ||||
 © 2001-2009, DermAtlas | Image Name: | perianal_strep_dermatitis_1_020208 | File Type: | jpg | |
| Diagnosis: | STREPTOCOCCAL INFECTION, PERIANAL / STREPTOCCAL INFECTION, VAGINAL | Category: | infections and infestations / ulcer | ||
| Body Site: | anus / perianal diaper area | Age: | 30 months | ||
| Contributor: | Eric Ehrsam, MD | ||||
| Description: | Bright red well demarcated perianal patch with erosion | ||||
| Comments: | A 30 month old girl had a painful itchy red rash around the anus that failed to improve with topical antifungal therapy for 1 month. The perianal erythema had well-defined margins and there was a thin mucoid exudate. A perianal skin culture was positive for Group A beta-hemolytic streptococcus, and the eruption and symptoms cleared when she was treated with penecillin V, 75OOO U/kg/day for 21 days. Perianal streptococcal dermatitis can masquerade as candidiasis, psoriasis, seborrheic dermatitis, inflammatory bowel disease or sexual abuse. Perirectal tenderness and pain during defecation can result in constipation, particularly when the diagtnosis is not considered and effective therapy is delayed for months. Complications related to streptococcal infections (nephritis, rheumatic fever, guttate psoriasis) can coexist. Streptococci can be found in the pharynx, too. | ||||
 © 2001-2009, DermAtlas | Image Name: | strep_2_011004 | File Type: | jpg | |
| Diagnosis: | STREPTOCOCCAL INFECTION / STREPTOCOCCAL INFECTION, PERIANAL | Category: | infections and infestations / vesiculobullous eruptions | ||
| Body Site: | groin / perianal genital / penis genital | Age: | 3 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | bright red erosive intertriginous patches | ||||
| Comments: | A healthy 3 year old boy had a persistent diaper rash with bright red macerated erosive patches in the groin creases, around the anus and on the shaft and base of the penis. The lesions were painful and itchy and failed to respond to topical steroids, antifungal creams, antibiotics, and barrier ointments for 6 months. A culture for Group A beta-hemolytic streptoccus was positive, and the erosions healed after 10 days of oral amoxicillin. He was treated with oral antibiotics for 3 weeks. | ||||
 © 2001-2009, DermAtlas | Image Name: | perianalstrep_1_010727 | File Type: | jpg | |
| Diagnosis: | CELLULITIS, PERIANAL / STREPTOCOCCAL INFECTION, PERIANAL / DERMATITIS, DIAPER | Category: | infections and infestations / reactive erythema | ||
| Body Site: | perianal | Age: | 4 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | sore red wet scaly perianal patch | ||||
| Comments: | A 5 year old boy with a red weepy perianal rash was treated for 3 months with topical antibiotics, topical steroids, and topical antifungal creams without improvement. He complained of itching, burning and pain on defecation. Group A beta-hemolytic streptococcal screens from his throat and anus were positive, and symptoms and rash resolved on 3 weeks of oral amoxicillin therapy. | ||||
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